PROVIDENCE HEALTH NETWORK LLC

COLUMBIA, SC
NPI1467875229
Doing Business AsLAUREL IMAGING CENTER
Entity TypeOrganization
Authorized ContactGEORGE ZARA
CEO
803-256-5300
Organization Subpart ?Yes
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: SC  40-5997)
Additional Taxonomies293D00000X Physiological Laboratory
(Licence: SC  40-5997)
Enumeration Date2014-01-30
Last Update Date2014-06-23
Business Address
PROVIDENCE HEALTH NETWORK LLC
2750 LAUREL ST SUITE 104
COLUMBIA, SC 29204-2038
Phone number: 803-799-9035
Mailing Address
PROVIDENCE HEALTH NETWORK LLC
2750 LAUREL ST SUITE 104
COLUMBIA, SC 29204
Phone number: 803-799-9035